Individual
DAVID LEWIS MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
2502 TACOMA AVE S, TACOMA, WA 98402-1310
(253) 759-0852
Mailing address
PO BOX 5305, TACOMA, WA 98415-0305
(253) 759-0852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003404
WA
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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